Recurrent Hematomas Within the Iliopsoas Muscle Caused by Impingement After Total Hip Arthroplasty

Spontaneous psoas haematoma secondary to antiplatelet therapy: a rare cause of atraumatic hip pain

“…As the main hip flexor, pathology of the iliopsoas can mimic these presentations with hip pain and reduced mobility. Psoas impingement following hip replacement is a recognised cause of ongoing pain and iliopsoas haematoma has been linked to impingement from acetabular component malposition 10…”

“…Although rare, spontaneous haematoma of the iliopsoas has been reported in patients with varying forms of anticoagulation, those with hereditary coagulopathies and due to liver failure 3 4 6–13. In severe coagulopathy and trauma, psoas haemorrhage can cause significant morbidity and has been reported to cause haemodynamic instability due to haemorrhagic shock 8…”

Late Sciatic Nerve Palsy Caused by Recurrent Hematoma after Primary Total Hip Arthroplasty: A Case Report

“…In our case, the old blood component revealed this to be a delayed recurrent hematoma, and there were no signs of any active bleeding points. Bartelt and Sierra reported that impingement of the iliopsoas muscle, which was caused by a malpositioned acetabular component, is another potential reason. We excluded this possible reason by postoperative radiograph of the pelvis.…”

Iliopsoas Impingement: A Report of 2 Cases

“…Increased tension on the iliopsoas muscle can also result from screws protruding from cementless cups, large lumps of cement around the cup, and excessive neck length in collared femoral components or large‐diameter implant designs . Other factors potentially increasing the risk of internal snapping hip syndrome include metal‐on‐metal total hip arthroplasty, resurfacing arthroplasty, or iliopsoas sheath hematomas, especially in patients on long‐term anticoagulation . Iliopsoas tendinitis can also occur in cases where no structural problem is identified…”